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General NPI Number Information
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NPI Number | 1730230533
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Entity Type | Individual
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Provider Name | PAUL P SVITRA MD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1055 FRANKLIN AVE STE 100
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City | GARDEN CITY
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State | NY
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Zip | 11530-2903
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Country | US
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Telephone | 516-327-0505
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Fax | 516-393-2155
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Provider Business Mailing Address
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Address Line | 320 E SHORE RD APT 29C
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City | GREAT NECK
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State | NY
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Zip | 11023-1737
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Country | US
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Telephone | 516-273-0404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 1819851
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License Number State | NY
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